General baseline characteristics of the study population were mean (standard deviation) age, 58.1 (8.8) years; 47% women. 5 key findings →
Design: meta-analysis
Participants: 1,087
Evidence: high
Full summary, score breakdown and related studies →
Original source
Vision impairment (VI) and eye diseases such as age-related macular degeneration (AMD), diabetic retinopathy (DR), glaucoma and cataract have been reported to be associated with cognitive impairment and dementia, however, to date, very little attempt has been made to collate and synthesizes such literature. 3 key findings →
Design: meta-analysis
Participants: 232
Evidence: high
Full summary, score breakdown and related studies →
Original source
As visual impairment, cataract, and diabetic retinopathy are associated with an increased likelihood of developing dementia, early diagnosis may help identify those at risk of dementia. 5 key findings →
Design: meta-analysis
Participants: 37,705
Evidence: high
Full summary, score breakdown and related studies →
Original source
84/100
✓ Peer-reviewed
alzhub usefulness score 84 out of 100.
·
Gut
·
1988-08-01
Visually impaired individuals were more likely to develop incident dementia, with a progressively greater risk among those with worse visual acuity. 5 key findings →
Design: systematic review
Participants: 117,187
Evidence: high
Full summary, score breakdown and related studies →
Original source
80/100
✓ Peer-reviewed
alzhub usefulness score 80 out of 100.
·
Eye and brain
·
2021-01-08
Seventy-one studies were included for review, representing a total of 6757 patients (2350 AD, 793 MCI, 2902 healthy controls (HC), and 841 others with a range of other neurodegenerative diagnoses). 5 key findings →
Design: systematic review
Participants: 6,757
Evidence: high
Full summary, score breakdown and related studies →
Original source
79/100
✓ Peer-reviewed
alzhub usefulness score 79 out of 100.
·
BMJ open
·
2022-01-06
Our systematic review indicates that a majority of studies examining the vision-cognition relationship report that VI is associated with more cognitive decline, cognitive impairment or dementia among older adults. 4 key findings →
Design: systematic review
Participants: 100
Evidence: high
Full summary, score breakdown and related studies →
Original source
Thinning of retinal layers, measured using optical coherence tomography (OCT), is associated with some neurodegenerative disorders such as established Alzheimer's disease and multiple sclerosis. 5 key findings →
Design: systematic review
Participants: 622
Evidence: high
Full summary, score breakdown and related studies →
Original source
74/100
✓ Peer-reviewed
alzhub usefulness score 74 out of 100.
·
Ophthalmology
·
2021-02-27
Topic Visual impairment (VI) and cognitive impairment (CIM) are prevalent age-related conditions that impose substantial burden on the society. 5 key findings →
Design: systematic review
Participants: 47
Evidence: high
Full summary, score breakdown and related studies →
Original source
One hundred twenty-eight participants (21.9%) developed dementia over a median of 7.1 years. 5 key findings →
Design: longitudinal study
Participants: 584
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
Fourteen studies assessing OCT-A in preclinical Alzheimer's disease (AD), mild cognitive impairment, or AD were included. 3 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Retinal thickness is decreased in AD and MCI patients compared to HC. 2 key findings →
Design: meta-analysis
Evidence: high
Full summary, score breakdown and related studies →
Original source
Ten studies assessing retinal properties in dementia were included. 5 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
71/100
✓ Peer-reviewed
alzhub usefulness score 71 out of 100.
·
BMJ open
·
2025-11-13
A narrative synthesis approach will be used to analyse the results, with meta-analysis performed if there is sufficient data. 1 key finding →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
66/100
✓ Peer-reviewed
alzhub usefulness score 66 out of 100.
·
Ophthalmology
·
2018-08-13
Topic OCT is a noninvasive tool to measure specific retinal layers in the eye. 3 key findings →
Design: systematic review
Evidence: high
Full summary, score breakdown and related studies →
Original source
Over 68,904 person-years of follow-up, 1,349 participants developed dementia. 5 key findings →
Design: longitudinal study
Participants: 1,349
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
NfL, Aβ40, Aβ42, GFAP, and p-tau181 were detected in all AH samples by Simoa platform. 5 key findings →
Design: cohort study
Participants: 55
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
This retrospective case-control study aimed to investigate associations between disease severity of Alzheimer's dementia (AD) and macular thickness. 3 key findings →
Design: case-control study
Participants: 192
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
HIGHLIGHTS: We demonstrated the diagnostic performance of qLRP in Alzheimer's disease. 1 key finding →
Design: cross-sectional
Participants: 107
Evidence: low
Full summary, score breakdown and related studies →
Original source
Most risk factors under study (i.e., hyperglycemia, unhealthy diet, lower cardiorespiratory fitness, smoking, alcohol consumption, and hypertension) were significantly associated with lower retinal sensitivity and lower RNFL thickness. 2 key findings →
Design: cross-sectional
Participants: 5,666
Evidence: low
Full summary, score breakdown and related studies →
Original source
Fifty-eight eyes from 30 participants (53% female; mean [SD] age, 74.5 [5.6] years; age range, 62-92 years) were included in the analysis. 4 key findings →
Design: case-control study
Participants: 32
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
BackgroundRetinal thickness has been associated with neurocognitive conditions such as Alzheimer's disease (AD).ObjectiveRetinal cell layer thickness was evaluated for associations with neurodegenerative protein biomarkers glial fibrillary acidic protein (GFAP) and neurofilament light chain (NfL) in plasma, vitreous humor, and aqueous humor. 5 key findings →
Design: cross-sectional
Participants: 50
Evidence: low
Full summary, score breakdown and related studies →
Original source
A total of 124 eyes of 69 participants with PD (39 men [56.5%]; mean [SD] age, 71.7 [7.0] years) and 248 eyes of 137 control participants (77 men [56.2%]; mean [SD] age, 70.9 [6.7] years) were analyzed. 5 key findings →
Design: cross-sectional
Participants: 69
Evidence: low
Full summary, score breakdown and related studies →
Original source
Compared to controls, returning FTD patients (143 vs. 130 μm, p = 0.005) and the tauopathy subgroup (143 vs. 128 μm, p = 0.03) had thinner outer retinas but similar inner layer thicknesses. 5 key findings →
Design: cross-sectional
Participants: 16
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
We report that by early prion disease (50% timepoint), discrete fluorescent foci appeared adjacent to the optic disc. 3 key findings →
Design: longitudinal study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
The surface area of inclusion bodies increased as a function of cortical amyloid burden. 4 key findings →
Design: cohort study
Evidence: moderate
Full summary, score breakdown and related studies →
Original source
How the 0–100 score works — and why some entries are capped
This is alzhub's own score. It is not an official metric, not an impact factor,
and no journal, publisher or ranking body endorses it. We built it so that a reader who is not a
scientist can tell a landmark trial from a conference abstract without having to already know the
difference. Every point comes from one of 20 components, all of them printed on the study itself,
so you can disagree with our arithmetic rather than having to trust the total.
- Journal tier up to 10 pts
- Journal's citation record up to 4 pts
- Study design up to 12 pts
- Strength of evidence up to 5 pts
- Peer-review validation up to 10 pts
- How recent up to 5 pts
- Sample size up to 4 pts
- Effect reported up to 3 pts
- Studied in people up to 3 pts
- Randomised / blinded up to 2 pts
- Times cited up to 7 pts
- Citations per year up to 5 pts
- Impact for its field and year up to 6 pts
- Cited by studies here up to 6 pts
- Still being cited up to 4 pts
- Senior author's track record up to 4 pts
- Institution's track record up to 3 pts
- Multi-centre collaboration up to 3 pts
- Indexed in PubMed up to 2 pts
- Free to read up to 2 pts
Journals are placed in ordered tiers, never given a numeric impact factor — we
could not verify current impact factors from a source we control, and an invented one would be
worse than none. Tier 1 is the top-tier general journals (NEJM, The Lancet, JAMA, Nature, Science,
Nature Medicine); tier 2 is the leading specialty journals; tier 3 is every other peer-reviewed
journal. A separate part scores how much the journal's own papers are cited, which tells the
tier-3 journals apart.
Two rules we don't bend. First, we never fill in a
missing value: if a record does not state a sample size or a design, that component scores
zero, and if we simply have no data for a part, such as a citation count, that part is left out and
the study is scored on the parts we could check. The study card says which. Second, anything that is not a peer-reviewed
article is capped at 16/100 and carries a warning chip — so a conference abstract or
a company press release can never outrank a peer-reviewed paper, no matter how good it looks.
We rank a rigorous null result — a good trial showing that something does not
work — above an early positive finding. Someone deciding whether to buy a supplement is served by
that, and the rigour is already counted by the design and journal components.
The score is computed from the published data alone and is
reproducible: the same file always yields the same numbers.
See the whole rubric drawn out →
— four charts covering all 27,380 studies: how the scores are spread and where the cap
bites, which of the 20 components the library is strong and weak on, which subjects rest on
stronger evidence, and what kinds of study each subject is actually built from.